A case of treatment of acute spontaneous spinal subdural hematoma in a patient with the novel coronavirus COVID-19. Literature review

Abstract

The aim of the work is to describe a case of spontaneous subdural spinal hematoma surgical treatment in a patient with a new coronavirus infection COVID-19, manifested by compression myeloradiculopathy. Materials and methods. In patient N., 70 years old, during the treatment of a new coronavirus infection COVID-19, signs of myelopathy from the dermatome level were revealed. Subdural hematoma was diagnosed at the Th7-L4 level with compression of the dural sac, ponytail and left spinal nerves at the Th12-L2 vertebral level. Results. Performed in the volume of decompressive laminectomy L1, removal of subdural hematoma with a good result in the form of restoration of spinal cord function. Early rehabilitation was carried out in the Department of neurosurgery. Conclusion. Spinal subdural hematomas are extremely rare. We have not found any reports of spinal hematomas in patients with COVID-19 in the Russian-language literature. Alertness to possible hemorrhagic complications in patients with a new coronavirus infection receiving anticoagulants, rapid diagnosis in a multidisciplinary hospital will allow timely neurosurgical care and achieve a good functional result.